Observational studyBrain injury2018
Vestibular and oculomotor findings in neurologically-normal, non-concussed children.
Observational study in Brain injury, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 39 citations in OpenAlex.
- Long-term test and retest reliability of clinical vergence testing.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025Article
- Characteristics of Pediatric Concussion across Different Mechanisms of Injury in 5 through 12-Year-Olds.The Journal of pediatrics · 2024Observational
- Maximizing the Accuracy of Adolescent Concussion Diagnosis Using Individual Elements of Common Standardized Clinical Assessment Tools.Journal of athletic training · 2023Article
- Precision Concussion Management: Approaches to Quantifying Head Injury Severity and Recovery.Brain sciences · 2023Review
- The effect of a home exercise program on visio-vestibular function in concussed pediatric patients.Frontiers in sports and active living · 2023Article
- Trajectories of Visual and Vestibular Markers of Youth Concussion.Journal of neurotrauma · 2022Article
- Influence of concussion history and age of first concussion on visio-vestibular function.Journal of science and medicine in sport · 2022Article
- Vestibular and Ocular/Oculomotor Assessment Strategies and Outcomes Following Sports-Related Concussion: A Scoping Review.Sports medicine (Auckland, N.Z.) · 2021Article
- Characteristics and Outcomes for Delayed Diagnosis of Concussion in Pediatric Patients Presenting to the Emergency Department.The Journal of emergency medicine · 2020Article
- Reliability of the visio-vestibular examination for concussion among providers in a pediatric emergency department.The American journal of emergency medicine · 2020Article
- Clinical and Device-based Metrics of Gait and Balance in Diagnosing Youth Concussion.Medicine and science in sports and exercise · 2020Article
- Baseline profiles of auditory, vestibular, and visual functions in youth tackle football players.Concussion (London, England) · 2020Article
- The Variability of Recovery From Pediatric Concussion Using Multimodal Clinical Definitions.Sports healthObservational
- Dose-Response Effect of Mental Health Diagnoses on Concussion Recovery in Children and Adolescents.Sports healthArticle
- Vestibular, Oculomotor, and Balance Functions in Children With and Without Concussion.The Journal of head trauma rehabilitationArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo determine the proportion of non-concussed, neurologically normal children with failures on a vestibular and oculomotor examination for concussion performed in an acute setting.
designThis was a cross-sectional study of subjects 6-18 years old presenting to a paediatric emergency department with non-neurologic chief complaints. The examination was administered by a paediatric emergency medicine physician, and includes assessments of dysmetria, nystagmus, smooth pursuits, saccades, gaze stability, near-point of convergence, and gait/balance testing.
resultsOf the 295 subjects enrolled, 24% failed at least one element of testing. About 13% had >1 failed element and 5% had >2 failed elements. About 29% of females and 19% of males had failed examinations. By age, 15% of subjects 6-8 years old, 32% 9-11 years, 32% 12-14 years, and 26% 15-18 years had failed examinations. Overall, 10% were unable to complete the exam due to developmental age.
conclusionsThe provider should be aware that a proportion of non-concussed children may demonstrate failure on a single element of the vestibular and oculomotor exam. While this testing is of benefit to the acute care provider in diagnosing paediatric concussion, its utility is greatest in the context of an injury history with acute onset of concussion symptoms.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.